Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,557.80 / $2,747.00 / $7,920.26	Facility		$1,557.80	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $725.41 / $1,154.86 / $4,082.06	Professional		$725.41	$1,154.86	$4,082.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,084.24 / $1,730.51 / $2,332.58	Professional		$1,084.24	$1,730.51	$2,332.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,240.18 / $1,768.80 / $1,991.49	Professional		$1,240.18	$1,768.80	$1,991.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,154.86 / $1,684.29 / $2,482.96	Facility		$1,154.86	$1,684.29	$2,482.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,220.43 / $1,461.76 / $2,526.16	Professional		$1,220.43	$1,461.76	$2,526.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,119.64 / $1,510.75 / $1,589.24	Facility		$1,119.64	$1,510.75	$1,589.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,154.86 / $1,801.02 / $2,217.73	Facility		$1,154.86	$1,801.02	$2,217.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,381.67 / $1,851.56 / $2,344.51	Professional		$1,381.67	$1,851.56	$2,344.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,129.35 / $4,129.35 / $4,129.35	Facility		$4,129.35	$4,129.35	$4,129.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,449.62 / $1,946.23 / $2,488.23	Professional		$1,449.62	$1,946.23	$2,488.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.53 / $1,700.76 / $2,507.61	Professional		$1,174.53	$1,700.76	$2,507.61